Help Me Find A Therapist in British Columbia

If you are a new client, welcome!

We are here to help you find the “best fit” counsellor for you, your relationship, your kids, or your family.

Please take a moment to fill in the form below – filling as much as you are comfortable doing – and we will get back to you within one business day.

First Name

Last Initial

Email Address

Cell number

What is the best time to call you? What is the best time to call you? 8am - 12noon 12pm - 4pm 4pm-7pm

In case we can't reach you, may we leave a voice mail on your cell? In case we can't reach you, may we leave a voice mail on your cell? Yes No

Who are you seeking help for? Who are you seeking help for? Myself My partner and I My child / children My family Other

If other, please specify:

What is the age of the person(s) attending counselling What is the age of the person(s) attending counselling 0-12 years 12-18 years 18-30 years 30-45 years 45-55 years 55 and above

What would you like help with? What would you like help with? Depression Anxiety Parenting / new parenthood, prenatal and postpartum Relationship / couples issues Separation / divorce Family conflict Trauma, including motor vehicle accidents Emotional abuse, sexual abuse, intimate partner violence Substance abuse recovery Work place issues Life transitions Grief / loss, anticipatory loss, ambiguous loss Retirement issues / pre-retirement planning Nutrition / diet management Other, please specify below

If other, please specify:

What is your preferred time of day for an appointment? What is your preferred time of day for an appointment? Day time appointments Evening appointments Saturday appointments The first available appointment

What is your preferred day for an appointment? What is your preferred day for an appointment? the first available day Monday Tuesday Wednesday Thursday Saturday Friday

Which of our office locations would you prefer? Which of our office locations would you prefer? Cobble Hill Coquitlam Maple Ridge Vancouver Virtually / online

Do you have extended health coverage? Do you have extended health coverage? Yes, for services with a Registered Clinical Counsellor Yes, for services with a Registered Social Worker Yes, for services with a Registered Dietitian

If you do not have extended health coverage, what is your preference? If you do not have extended health coverage, what is your preference? To work with the first available Registered therapist I would prefer working with a Counselling Intern at a reduced rate

How did you hear of us? How did you hear of us? I did a search and found Innova on Google I found you in a directory (eg Psychology Today) I was referred by a friend I was referred by my family doctor I was referred by my lawyer Other

If other, please specify here

Is there anything else about yourself or your "best fit" counsellor you would like us to know?

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